Role of Derotation Suture in Bulbous Tip Correction in Asian Rhinoplasty

Area of Science:

• Plastic Surgery
• Rhinoplasty Techniques

Background:

• Bulbous tip correction requires addressing cephalic malposition and volume of the lower lateral cartilage.
• Derotation suture, primarily for tip lengthening, can aid bulbous tip correction via caudal repositioning.

Purpose of the Study:

• To evaluate the effectiveness and complications of the derotation suture technique for bulbous tip correction in Asian patients.

Main Methods:

• A retrospective analysis of 50 Asian patients who underwent bulbous tip correction using derotation suture from 2016 to 2018.
• The technique involved suturing the convex part of the lower lateral cartilage to the caudal septum with caudal traction.

Main Results:

• Significant improvement in tip bulbosity and supratip fullness was observed in 96% of patients.
• Complications included tip drooping (4%), nostril asymmetry (2%), and undercorrection (4%). No pinching deformities were reported.

Conclusions:

• Derotation suture is a valuable method for correcting bulbous nasal tips in Asian patients with cephalic malposition of the lower lateral cartilage.
• The technique facilitates the creation of an ideally shaped nasal tip with a low complication rate.